Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | MD046230 | DC |
N | 2084N0600X | Clinical Neurophysiologist | MD046230 | DC |
NPI | 1265877138 |
---|---|
Provider Name | Tayyba R Anwar |
First Address | Atlanta, GA 30374-4785 |
Second Address | Washington, DC 20010-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2013 |
Last Update Date | 14/07/2021 |